MIDDLETOWN LTC PHARMACY LLC NPI 1063869238

NPI Information

NPI: 1063869238
Provider Name: MIDDLETOWN LTC PHARMACY LLC
Classification: Pharmacy - 3336L0003X
Specialization: Long Term Care Pharmacy
Entity Type: Organization
Doing Business As: HUDSON REGIONAL LTC PHARMACY
Address: 280 ROUTE 211 E
SUITE 112
MIDDLETOWN, NY
ZIP 10940
Phone: (845) 341-2700

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NPI Details

MIDDLETOWN LTC PHARMACY LLC is a long term care pharmacy pharmacy in Middletown, NY. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. MIDDLETOWN LTC PHARMACY LLC NPI is 1063869238. The provider is registered as an organization entity type.
The provider Is Doing Business As Hudson Regional Ltc Pharmacy.

The provider's business location address is:

280 ROUTE 211 E
SUITE 112
MIDDLETOWN, NY
ZIP 10940-109
Phone: (845) 341-2700
Fax: (845) 341-2715

The provider's authorized official is Mayur Patel .
The authorized official title is Member and has the following contact phone number (845) 341-2700.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
Administration of pneumococcal vaccine (HCPCS:G0009)
Administration of influenza virus vaccine (HCPCS:G0008)
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
Influenza vaccine split virus, preservative free (HCPCS:90662)

The enumeration date for this NPI number is 5/18/2016 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3336L0003X	Pharmacy	Long Term Care Pharmacy			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	04585449	MEDICAID	NEW YORK
2	034715	OTHER	NEW YORK	STATE BOARD OF PHARMACY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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